Parenting very preterm infants and stress in Neonatal Intensive Care Units
Parenting very preterm infants and stress in Neonatal Intensive Care Units
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DOI：
10.1016/j.earlhumdev.2016.04.001
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发表时间：
2016-10-01
影响因子：
2.5
通讯作者：
Alves, Elisabete
中科院分区：
文献类型：
--
作者：
Baia, Ines;Amorim, Mariana;Alves, Elisabete
背景：评估新生儿重症监护病房 (NICU) 婴儿住院期间父母的压力对于识别面临直接和长期身体和情感负担风险的父母至关重要。目的：确定 NICU 住院的极早产儿的母亲和父亲的压力来源，及其与社会人口、产科和婴儿特征的关系。研究设计：2013 年 7 月至 6 月期间进行的观察性和横断面研究2014年，受试者：连续系统地邀请葡萄牙北部卫生区所有三级新生儿重症监护病房住院的极早产儿的父母参与本研究，其中包括120名母亲和91名父亲（参与率：98.6%）。结果测量：使用葡萄牙版父母压力源量表：新生儿重症监护病房。结果：总体住院经历被归类为压力较大比子量表的中位数。 “父母角色的变化”被母亲（中位数（P25-P75）：4.1（32-4.7））和父亲（中位数（P25-P75）：32（2.4-4.0））列为压力最大的分量表。母亲在所有分量表中的得分均显着较高。对于母亲来说，多胎妊娠与“父母角色变化”（β = -0.597；95% CI = 1.020 至 -0.174）和“总体压力”（β = 0.603；95% CI = 1.052 至 0.153）方面的压力水平较低相关。研究发现，年龄 >= 30 岁是父亲压力减轻的重要预测因素。结论：这项研究提高了人们的认识，即需要开发敏感的工具来关注性别、社会支持和以家庭为中心的护理。实施以减轻父母压力为重点的干预措施对于缩小家庭健康差异至关重要。 (c) 2016 Elsevier Ireland Ltd. 保留所有权利。
Background: Assessing parental stress during infants' hospitalization in Neonatal Intensive Care Units (NICU) is essential to identify parents at risk for immediate and extended physical and emotional burden.Aims: To identify sources of stress in mothers and fathers of very preterm infants hospitalized in NICU, and their association with sociodemographic, obstetric and infants' characteristics.Study design: Observational and cross-sectional study conducted between July 2013 and June 2014.Subjects: Parents of very preterm infants hospitalized in all level III NICU in the Northern Health Region of Portugal were consecutively and systematically invited to participate in this study, being included 120 mothers and 91 fathers (participation rate: 98.6%).Outcome measures: The Portuguese version of the Parental Stressor Scale: Neonatal Intensive Care Unit was used.Results: The overall experience of hospitalization was classified as more stressful than the median for the sub scales. "Change in parental role" was classified as the most stressful subscale by mothers (Median (P25-P75): 4.1(32-4.7)) and fathers (Median (P25-P75): 32(2.4-4.0)). Mothers scored significantly higher in all subscales. For mothers, multiple pregnancy was associated with lower levels of stress regarding "change in parental role" (beta = -0.597; 95% CI = 1.020 to -0.174) and "overall stress" (beta = 0.603; 95% CI = 1.052 to 0.153). Being >= 30 years old was found to be a significant predictor for decreased fathers' stress.Conclusions: This study raises awareness for the need to develop sensitive instruments that take notice of gender, social support and family -centered care. The implementation of interventions focused on reducing parental stress is crucial to diminish disparities in family health. (c) 2016 Elsevier Ireland Ltd. All rights reserved.